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Breast Reduction for Teen Recommended? (photo)

I have a 15 yr old who, due to medications, weighs 191 and has breast size of 40 DD this weight gain has been over the past 2 yrs. She has a twin who is 110 lbs and small frame. This is causing her emotional and physical stress. Would it be recommended to look at reduction at this age? Also, would this be covered under insurance as health issue.

Doctor Answers (4)

Breast Reduction for Teens


I am sorry for the tough time that your daughter is having. I am sure that you must be facing considerable stress from the situation as well. The breast reduction procedure should not be entered into lightly due to the scars involved, the discomfort of healing, and cost in both time and money. The patient must be emotionally able to handle the surgery, and many teens are not. If possible, breast reduction surgery should be delayed until your daughter is physically and emotionally mature.

Weight reduction would be the starting point which will hopefully rectify many of the physical issues. While your daughter begins efforts for weight reduction, you and she will be able to gather the necessary supporting documents in the event that the decision is to proceed with the surgical option.

West Palm Beach Plastic Surgeon
4.5 out of 5 stars 14 reviews

Breast Reduction for Teen Recommended?


Sorry for your and her issues. The photo does not show the breast size but it gives an indication of the excess weight. As other expert posted it is very very rare to have insurance approval for a breast reduction under the age of 18. To proceed on the course you will need to file letters from a boarded PS, the child's Psychiatrist, even from a family counselor. But to help a weight loss plan started and showing a loss is very important. Remember breast reduction surgery is not the answer to her medical and mental issues. 

Miami Plastic Surgeon
4.5 out of 5 stars 55 reviews

Breast Production for Teenager?


I'm sorry to hear about the difficult time your daughter is having;  her situation must be even more challenging given that she has a twin  who is not faced with the same challenges...

Although your daughter may be a good candidate for breast reduction/lifting surgery at some point, it would be best for her to concentrate on achieving a long term stable weight prior to undergoing breast surgery. Obviously, achieving this long-term stable weight may be difficult given the medical issues/medications involved.

As  you both think  about  breast reduction surgery make sure you do your homework and understand the potential risks and complications associated with  the procedure.  Unsatisfactory scarring is  one of the potential complications. Make sure you also understands that further surgery may be necessary in the future (for example if the breasts were to grow in size again).

On the other hand, breast reduction surgery is one of the most patient pleasing operations we perform and I think that for the right teenager (enough symptoms) it may be an excellent option (regardless of the age).

Sometimes breast  reduction surgery is covered through health insurance. The best way to obtain insurance coverage for breast reduction surgery involves some “hoops” to jump through. The more documentation you have (for example, from your primary care doctor, physical therapist, chiropractor etc.) the better when it comes to obtaining insurance “authorization” for the procedure.
This documentation and letter/pictures from your plastic surgeon will help you obtain authorization.

Best wishes to you and your daughter.

Web reference:

San Diego Plastic Surgeon
5.0 out of 5 stars 626 reviews

Adolescent breast reduction

Unfortunately, the photo doesn't reveal much. Typically, insurance companies will not pay for breast reduction in adolescents below age 18 because they believe that they are not fully grown. Additionally, I note that your daughter is overweight and so the first step would be a weight reduction program. This should be discussed with the physician managing her medical problems. I am sorry that she is suffering emotionally, particularly in comparison to a thinner twin sister. Remember that if you proceed with surgery and pay for it out of pocket, it will not deal with the weight issue. Best of luck! Adolescence is so difficult, especially for the parents!
New York Plastic Surgeon
5.0 out of 5 stars 8 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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